Provider Demographics
NPI:1649607482
Name:BOND, DAVID JOSEPH (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:BOND
Suffix:
Gender:
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-0000
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:2450 RIVERSIDE AVENUE SE PSYCHIATRY CLINIC
Practice Address - Street 2:UNIVERSITY OF MINNESOTA MEDICAL CENTRE, FAIRVIEW
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-626-6773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2025-04-28
Deactivation Date:2014-05-19
Deactivation Code:
Reactivation Date:2014-06-09
Provider Licenses
StateLicense IDTaxonomies
ZZ165532084P0800X
MN571802084P0800X
MDD947082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry